Positive Bacterial Culture Results at a Dermatologic Surgery Center: A Single-Site Retrospective Review
| Autor: | James Ko, Eva A. Hurst, Jessica B. Dietert |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Staphylococcus aureus
medicine.medical_specialty Microbiological culture Dermatologic Surgical Procedures Dermatology beta-Lactams medicine.disease_cause beta-Lactam Resistance 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Single site Internal medicine Humans Surgical Wound Infection Medicine Dermatologic surgery Pseudomonas Infections Retrospective Studies biology business.industry Pseudomonas aeruginosa Retrospective cohort study General Medicine Antibiotic Prophylaxis Staphylococcal Infections biology.organism_classification Anti-Bacterial Agents 030220 oncology & carcinogenesis Surgery business Staphylococcus Bacteria |
| Zdroj: | Dermatologic Surgery. 46:773-779 |
| ISSN: | 1524-4725 1076-0512 |
| DOI: | 10.1097/dss.0000000000002166 |
| Popis: | Background Typical prophylactic coverage of suspected cutaneous surgical-site infections (SSIs) predominantly covers gram-positive bacteria. Data regarding the frequency of infection with unusual bacteria, not covered by prophylaxis, are not available. Objective A retrospective 10-year review of culture-positive infections at a single academic site was performed. Materials and methods All positive bacterial culture results at the Washington University Center for Dermatologic and Cosmetic Surgery between October 31, 2007, and October 31, 2017, were collected and analyzed. Results Coagulase-negative staphylococcus accounted for 20.8% of positive culture results. Staphylococcus aureus caused 45.4% of infections. The remaining 33.8% were due to non-S. aureus bacteria, most frequently with Pseudomonas aeruginosa (10.8%). Numerous other gram-negative organisms and unusual gram-positive organisms were cultured. The lower extremity and ear were the only sites more likely to be infected with non-S. aureus bacteria. Smokers and immunosuppressed individuals were not more likely to have an SSI with non-S. aureus bacteria. Conclusion A significant proportion of all SSIs with positive culture results was due to bacteria that are not sensitive to beta-lactam prophylaxis. Broader coverage for suspected SSI should be considered, particularly on the lower extremity and ear. |
| Databáze: | OpenAIRE |
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